Family functioning of patients with an eating disorder compared with that of patients with obsessive compulsive disorder

Erol, Atila; Yazici, Fadime; Toprak, Gulser

doi:10.1016/j.comppsych.2006.05.004

Cited by 22 publications

(20 citation statements)

References 27 publications

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“…Specifically, they showed significantly higher scores of enmeshment and rigidity and lower scores of cohesion, chaotic, and communication quality. These results are consistent with previous studies that indicated the presence of excessive dependence on other family members, low flexibility, poor communication, and overprotectiveness in these families 18,58. These features seem to be coherent with conflict avoidance, which generally characterizes familial relationship of families with daughters diagnosed with AN 59…”

Section: Discussionsupporting

confidence: 92%

Family profiles in eating disorders: family functioning and psychopathology

Cerniglia¹,

Cimino²,

Tafà³

et al. 2017

PRBM

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Research has studied family functioning in families of patients suffering from eating disorders (EDs), particularly investigating the associations between mothers’ and daughters’ psychopathological symptoms, but limited studies have examined whether there are specific maladaptive psychological profiles characterizing the family as a whole when it includes adolescents with anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED). Through the collaboration of a network of public and private consultants, we recruited n=181 adolescents diagnosed for EDs (n=61 with AN, n=60 with BN, and n=60 with BEDs) and their parents. Mothers, fathers, and youths were assessed through a self-report measure evaluating family functioning, and adolescents completed a self-report questionnaire assessing psycho-pathological symptoms. Results showed specific family functioning and psychopathological profiles based on adolescents’ diagnosis. Regression analyses also showed that family functioning characterized by rigidity predicted higher psychopathological symptoms. Our study underlines the importance of involving all members of the family in assessment and intervention programs when adolescent offspring suffer from EDs.

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Section: Discussionsupporting

confidence: 92%

Family profiles in eating disorders: family functioning and psychopathology

Cerniglia¹,

Cimino²,

Tafà³

et al. 2017

PRBM

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“…OCD creates considerable burden for the parents and relatives of those who suffer from it 21, 22 . The relationship between burden on family members and levels of accommodation is probably complex as parents accommodate in part in order to lessen the burden but higher levels of accommodation have been tied to increased burden for relatives 23 .…”

Section: Methodsmentioning

confidence: 99%

Family accommodation in obsessive–compulsive disorder

Lebowitz¹,

Panza

et al. 2012

Expert Review of Neurotherapeutics

206

154

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Objective Family accommodation refers to ways in which family members assist the proband in the performance of rituals, avoidance of anxiety provoking situations, or modification of daily routines to assist a relative with obsessive-compulsive disorder. The purpose of this review was to analyze and integrate the available data on the role of family accommodation in pediatric obsessive compulsive disorder including its prevalence and its relationship the course of the disorder. Method A search of available peer reviewed English language papers was conducted through PubMed and PsycINFO cross-referencing the keyword OCD, with accommodation, family relations, and parents. Resulting papers were individually evaluated for relevance to the scope of the review. Results Accommodation is common in pediatric OCD and is strongly associated with symptom severity. Levels of accommodation have been also associated with treatment outcomes for both cognitive behavioral and pharmacological treatment. Significant improvement with treatment in OCD is often associated with reductions in family accommodation.. Conclusion Family accommodation represents important clinical data that is worth measuring, monitoring and tracking in clinical care. Therapies targeting family accommodation may be successful in improving treatment outcomes in pediatric OCD.

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“…Moreover, family interaction patterns can significantly impact on the process and outcome of therapy (Hoste, Lebow, & Le Grange, 2015; Le Grange, Eisler, Dare, & Hodes, 1992; Le Grange, Hoste, Lock, & Bryson, 2011; ****North, Gowers, & Byram, 1997; Rienecke, Accurso, Lock, & Le Grange, 2016; Wewetzer, Deimel, Herpertz-Dahlmann, Mattejat, & Remschmidt, 1996). Interestingly, research has demonstrated similar negative family interaction patterns in anxiety and mood disorders compared with eating disorders(Erol, Yazici, & Toprak, 2007; Theinemann & Steiner, 1993; Woodside, 1996); thus, research on how family interaction patterns impact treatment for eating disorders may have implications for other common youth mental health problems.…”

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confidence: 99%

Exploring Types of Family Environments in Youth with Eating Disorders

Darrow

Accurso

Nauman

et al. 2017

Euro Eating Disorders Rev

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While many studies have explored the relationship between different eating disorder diagnoses and the familial social environment, current evidence does not support associations between distinct family interaction patterns (e.g., high enmeshment) and particular diagnoses (e.g., anorexia nervosa). The current study seeks to move beyond the current literature to explore whether empirically-derived subtypes of family environment are associated with clinical features within a transdiagnostic sample of youth seeking treatment for eating disorders (n =123). Latent class modeling of the Family Environment Scale (FES) identified three classes (i.e., different FES profiles): (1) Control-Oriented, (2) System Maintenance-Oriented, and (3) Conflict-Oriented. Data are presented to characterize the classes (e.g., age, gender, rates of different eating disorders, severity of eating disorder pathology, rates of comorbid disorders). These preliminary results suggest family interaction types may help personalize treatment for eating disorders and encourage future research to guide such efforts.

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Family functioning of patients with an eating disorder compared with that of patients with obsessive compulsive disorder

Cited by 22 publications

References 27 publications

Family profiles in eating disorders: family functioning and psychopathology

Family profiles in eating disorders: family functioning and psychopathology

Family accommodation in obsessive–compulsive disorder

Exploring Types of Family Environments in Youth with Eating Disorders

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